DPC Startup Kit¶
Stop preparing. Start practicing.¶
Start with what you have. Add what you need.
Real guidance from docs who started with nothing — or less than nothing.
Two Paths. Same Destination.¶
Most startup guides assume you have $50,000 and six months to prepare. We don't.
Choose your path:
Bootstrap Path¶
Start in weeks. Spend under $3,000.
A stethoscope, a phone, and patients who need you. Everything else is optional.
- Minimum Viable Practice — The complete checklist
- Low-Tech Toolkit — $0-50/month tech stack
- Bootstrap FAQ — "Don't I need...?" No.
Comprehensive Path¶
Plan thoroughly. Build with intention.
Research every decision. Set up complete systems. Launch with everything in place.
- Business Formation — Legal, insurance, structure
- Technology — EMR, telehealth, systems
- Operations — Space, equipment, workflows
Our Recommendation
Start bootstrap, add depth as you grow. You'll learn more from 10 patients than 10 months of planning. Revenue solves problems that spreadsheets can't.
About This Resource¶
This startup kit was developed by experienced DPC physicians — including some of the first in the nation to practice Direct Primary Care — drawing from years of real-world experience building and mentoring DPC practices.
What makes this different:
- Bootstrap-first philosophy — We lead with "what's the minimum?" not "what's ideal?"
- All 50 states covered — State-specific laws, regulations, and resources
- Open source — Free to use, share, and improve (CC BY-NC 4.0)
- Real-world tested — From physicians who've done it, not consultants who haven't
This resource serves as the knowledge base for the DPC Mentor Platform, connecting aspiring DPC physicians with experienced mentors.
Who This Is For¶
| Audience | Description |
|---|---|
| Learn what Direct Primary Care is all about | |
| Step-by-step guidance for launching your practice | |
| Moving from employed or traditional practice to DPC | |
| Resources for guiding the next generation |
Quick Start¶
Bootstrap Quick Start (First Patient in 7 Days)¶
Tick off each day as you go — your progress is saved in your browser.
- Day 1–2: File LLC, get EIN — see Minimum Viable Practice
- Day 3: Malpractice insurance — see Professional Liability Guide
- Day 4: Phone, messaging, video setup — see Low-Tech Toolkit
- Day 5: One-page website, Google Business Profile — see Low-Tech Toolkit
- Day 6: Basic equipment, home office — see Minimum Viable Practice
- Day 7: Tell everyone, sign first patient — you're open
Total cost: $1,500-3,000. Break-even: 3-10 patients.
Comprehensive Quick Start (Launch in 3-6 Months)¶
Phase 1: Foundation 1. Choosing a Legal Entity 2. Business Registration Checklist 3. State DPC Laws + Your State Guide
Phase 2: Operations 1. Office Space Guide 2. Equipment & Supplies Checklist 3. EMR Selection Guide
Phase 3: Launch 1. Pricing Your Practice 2. Building Your Brand 3. Patient Onboarding Workflow
Content Sections¶
Bootstrap¶
Start lean with $1,500-3,000. Low-tech toolkit, minimum viable practice, FAQ. Start Here →
State Guides¶
All 50 states. DPC laws, dispensing rules, regulatory links. Find Your State →
Business Formation¶
Legal entities, registration, startup costs, insurance, partnerships, exit planning. Explore →
Small Business Fundamentals¶
Accounting, bookkeeping, cash flow, taxes, and metrics — the business side of running a practice. Explore →
Pricing & Membership¶
Pricing strategies, membership models, agreements, employer contracts. Explore →
Key Principles¶
Patients Before Infrastructure¶
A practice with one patient is infinitely more real than a business plan with none.
Many successful DPC practices started with nothing more than:
- A stethoscope and a phone
- Paper charts or Google Docs
- A kitchen table for admin
- Patients who needed them
Everything else came later, funded by revenue.
Right-Size Your Tools¶
Match your systems to your current stage — not your eventual stage:
| Stage | Bootstrap Approach | Comprehensive Approach |
|---|---|---|
| 0–30 patients | Paper calendar, Google Docs, your cell phone | Basic EMR, simple website |
| 30–75 patients | Add EMR when paper becomes painful | Full systems, workflows |
| 75+ patients | Staff when you're turning patients away | Team, dedicated space |
Revenue Before Expenses¶
Don't spend money on things you'll need "someday."
- Buy equipment when patient demand justifies it
- Add software when manual processes break down
- Hire staff when you're the bottleneck
- Get office space when alternatives limit you
The bootstrap path isn't forever. It's until revenue funds the next step.
Important Disclaimers¶
Educational Content Only
This is educational content, not legal or financial advice.
- Regulations vary by state and change over time
- Always consult a healthcare attorney for legal matters
- Always consult an accountant for tax and financial matters
- Verify current requirements with official sources
Contributing¶
This resource is maintained for mentorship purposes. Contributions and corrections are welcome.
- Found an error? Open an issue or submit a pull request
- Have a suggestion? Let us know through the repository issues
- Want to contribute content? See CONTRIBUTING.md
License¶
This work is licensed under CC BY-NC 4.0 (Creative Commons Attribution-NonCommercial 4.0 International).
You are free to:
Share and adapt with attribution
Use for educational and personal purposes
Not for commercial use without permission
Built by DPC physicians, for DPC physicians.
Part of the DPC Mentor Platform ecosystem